Maryann Basista in Downers Grove - Social Worker

Maryann Basista - NPI 1902914476

Maryann Basista is a Social Worker in Downers Grove, Illinois. Maryann Basista practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Maryann Basista is 1902914476. The last update date is 2013-06-22.

Maryann Basista's current location address is 1315 Butterfield Rd, Downers Grove, Illinois. You can contact this provider via phone number 6307888040 and fax number 6304240425. The mailing address for Maryann Basista is 1315 Butterfield Rd, Downers Grove, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Maryann Basista
Address 1315 Butterfield Rd, Downers Grove, Illinois
Phone Number 6307888040
Fax Number 6304240425
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1902914476
Provider Enumeration Date 2006-08-26
Last Updated Date 2013-06-22

Provider Mailing Address Detail

Address 1315 Butterfield Rd
City Downers Grove
State Illinois (IL)
Post Code 605155602
Phone Number 6307888040
Fax Number 6304240425

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No 149 006503
Definition:
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
813202000 MD MAGELLAN
2167954 IL COMPSYCH
7851779 CT AETNA
9426416 IL PHCS
183695 TX VALUE OPTIONS
11713175 IL CAQH
506974809 TX UBH
2221790 IL BCBS
2567375 MN CIGNA

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FAQs about Maryann Basista

What is the Maryann Basista's 1902914476?

The Maryann Basista's NPI (National Provider Identifier) Number is 1902914476. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Maryann Basista's facilities are geographically located?

The facilities of Maryann Basista are physically situated at the following location: 1315 Butterfield Rd, Downers Grove, IL, 605155602.

What is Maryann Basista's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Maryann Basista is Social Worker, and the taxonomy code that categorizes this field of expertise is 104100000X.

On what date did Maryann Basista receive its 1902914476 assignment from the Centers for Medicare & Medicaid Services?

The Maryann Basista was assigned its 1902914476 on 2006-08-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Maryann Basista's details last updated?

The information pertaining to the Maryann Basista, including its address, specialty, and other details, was most recently updated on 2013-06-22.

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